Hospitalized Child (Exam 2) Flashcards
(27 cards)
Promoting Infants Development: Trust vs Mistrust
Place child in position to see face and hands
Talk to infants about everything in room
Touch - Swaddle and Talk
Smile and put your face in field of vision
Simulate home routine and group care
Assign the same nurse
Keep frightening object from infants view
Pay close attention to light and sound simulation
Infant toys
Rattles
Squeaking toys
Picture Books
Balls
Blocks
Activity Boxes
Preparing Infants for Procedures
Keep parents calm and get the to help (cuddle)
Sensory soothing methods
Cuddles and Hugs
Safe restraints
Security object (older than 6 months
Toddler: Pneumonic
Parallel Play
Rituals and Routines
Autonomy vs Shame and Doubt
Involve parents
Separation anxiety
Explore
(PRAISE)
Hospitalized Toddler
Biggest fear is losing bodily control
Rituals and Routines are important
Physical restriction very difficult
Expect Regression
Separation Anxiety
PUSH BACK AGAINST HCP AND NURSES
Promoting Development of Toddler
Develop patient care rituals and write in care plan
Allow security objects from home
Praise them for correct things
Provide mobility and outlets for aggression
Have access to finger foods
Allow for exploration
Repeat syllables and talk through patient care
GIVE TODDLER CHOICES
Toddler Toys
Board and Mallet
Push / Pull toys
Toy telephone
Stuffed animals
Story books with Pictures
Preparing Toddlers for Procedures
KISS
Prep is towards parents and distracting the toddler
It is all about what they can see, feel, touch
Praise anything they do well
“Mommy and Daddy will be waiting”
Preschooler: Pneumonic
Mutilation fear
Associative play
Guilt vs initiative
Imaginary play playmate
Curious
MAGIC
Preschooler biggest fear
Mutilation and Abandonment
Hospitalized Preschooler: What to expect
May become overly aggressive and withdrawn
May bring an imaginary playmate
Try to refuse to take medication
They like familiar things
Have a litter understanding time (Morning - Night - Aftershow)
Enjoy playing with other kids
Silly humor
Need transitional objects (put arm band on these so they can reconnect items)
How Do We Promote Preschoolers
Use very specific language and look directly at a child
Get on the child’s level
Make silly mistakes and let them catch you
Can be comforted by holding and rocking
“Let’s do this” “How about that” to get cooperation
Use routines such as teeth brushing, washing, and toileting before meals
Read out loud to preschooler
Preschooler: Toys
Coloring books
Puzzles
Cutting and pasting
Dolls
Building blocks
Small craft projects
Preparing Preschool for Procedure
Simple explanations with diagram or doll
Play with cap, gown, stethoscope
Describe only what the child will feel, hear, see, and smell
Say out loud, “Procedures are never a form of punishment” (they might think they are being punished)
Medical Play
School Ager: Pneumonic
Does
Industry vs inferiority
Modesty
Peers
Loss of control
Explanation of procedures
DIMPLE
Hospitalized School Age CHild
Biggest fear: Loss of control
Concrete thinkers
Understand some causes of illness (drinking after someone)
Need to be involved in structuring hospital routines
Privacy and modesty
Industry vs inferiority
MISS THEIR PEERS
School Age: What to expect
Like to take risk (resetting IV pumps)
Like adults to be involved in helping them make decisions
Enjoy contact with other children of the same age/ability
Want time to be by themselves
Want rules
How do we promote school age development
Encourage continuation of school work
Give realistic and truthful explanations, ask them to explain it back to it
Give private time
Involve them in making things even if it is an ice pack
If they collect things allow them to collect hospital things
Make a game out of normal routines – how long does it take for an antibiotic to run it
Preparing School Agers for procedure
Use simple medical therminology
Use diagrams and models of what is going to happen
Explain equipment in concrete terms
Allow child to play with equipment
Allow time for questions before and after teaching
Allow responsibility
Adolescent: Pneumonic
Peer group
Altered body image
Identity
Role confusion
Separation from peers
PAIRS
Hospitalized Adolescent
Biggest fear: Altered body image, loss of control, and separation from peers
Want to be related to on their own level
Developmental stage (identity vs role confusion)
Hospitalized Adolescent: What to expect
Be able to answer and ask questions about their care
Follow instructions related to mobility, diet, medication compliance
Adult one minute and child the next
How do we promote adolescent development?
Teach at a realistic level
Involve with new staff
Discuss concerns about the future and bring up issues
Ask them how much they want parents to be involved
TRY TO RELATE TO THEM ON THEIR LEVEL
Ask open ended questions
HELP THEM MAINTAIN IDENTITY
Preparing Adolescents for procedures
Capable of abstract thought and reasoning
Conscious of appearance
Concerned more with present than with future
Peer relationships and group identity is very important
